Raf Score Cheat Sheet 2020

2022 Model SoftwareICD-10 Mappings.

Raf score cheat sheet 2020. There is also disease hierarchy logic that prevents inflated risk scores - example. In addition each patient receives a Demographic RAF score based on their age sex and whether the patient is community-based or living in a skilled nursing facility SNF. Healthy patients have a below-average RAF less than 10 while sicker patients have an above-average RAF greater than 10.

Diagnoses from Telehealth Services for Risk Adjustment. The 2020 RAF for HCC 87 is 0195 and HCC 88 is 0135. Submission deadline for risk adjustment data that occurs three times annually.

A score of 100 is average with the decimal places representing percentages above or below average. RAF is a relative measure used to predict the expenditure level of the patient. Diabetes Codes that will not RAF DM with ophthalmologic complications E083xxx or E113xxx except if unspecified 311 or 319 NO RAF if you use.

î l ô l î ì í õ î v v o v o o µ o W Ç W l o Z o µ v 357 7KH 1XWV DQG ROWV. 118 - 24888 Risk Adjustment Scores. New in 2020 RAF Medicare scores increase based on the condition count how many HCC conditions the patient has.

The average CMS FFS patient has the score of 100 RAF is a numeric value assigned by CMS to identify the health status of a patient RAF scores are made up of the following criteria for each member. Adjustment Factor RAF score based on complexity of the disease. Chronic Ulcer of Skin Except Pressure.

This functions similarly to the weighting of the diagnosis-related groups DRGs for acute inpatient payments. Patients that are healthier than average will have an HCC score below 1000 and those that are less healthy than average would have a score above 1000. While the most recent MedPAC data published on July 17 2020 reveals only a 4 prevalence rate among MA beneficiaries in the same year.